MHN Pharmacy Finance Manager

MHN Pharmacy Finance Manager

Position Summary

The Pharmacy Finance Manager serves as the health system's dedicated financial resource for pharmacy services across all hospitals and outpatient sites, including inpatient, outpatient, retail, specialty and infusion pharmacy operations. This position provides financial planning, analysis and reporting to help pharmacy and system leaders manage drug costs, protect revenue and make informed decisions about pharmacy services.

The Manager works closely with the System Chief Pharmacy Officer, pharmacy managers, Finance, Revenue Cycle, Supply Chain, Compliance and the 340B program team. Responsibilities include overseeing drug spend analysis, 340B program financial performance, drug pricing and reimbursement, pharmacy budgets and the financial evaluation of new and existing pharmacy services.

Essential Duties and Responsibilities

Financial Planning, Budgeting and Analysis

• Develop and monitor pharmacy operating budgets and financial forecasts across all system hospitals, sites and pharmacy service lines.

• Ensure pharmacy budgets, forecasts and financial reports are accurate, consistent and completed within established timelines.

• Analyze pharmacy financial performance and explain significant variances, trends and financial drivers to pharmacy and system leaders.

• Analyze drug spend, utilization and pricing changes to identify opportunities for savings through formulary management, purchasing and waste reduction.

• Prepare profit-and-loss analyses and business cases for retail, specialty, infusion and other pharmacy services.

• Evaluate the financial impact of proposed pharmacy programs, services, staffing, equipment and operational changes.

• Support financial reviews for the Pharmacy and Therapeutics (P&T) Committee.

• Provide timely, objective and clear financial information and recommendations to support pharmacy and system decision-making.

Drug Spend, Pricing and Revenue Management

• Monitor drug reimbursement, charge capture and pricing to help protect pharmacy revenue.

• Review drug charge capture and pricing to identify and correct missed charges, billing errors and potential revenue gaps.

• Analyze reimbursement trends and assess the financial impact of changes in Medicare, Medicaid and commercial payer reimbursement.

• Support analysis of Group Purchasing Organization (GPO) and wholesaler contracts.

• Work with Pharmacy, Revenue Cycle and Supply Chain to evaluate drug purchasing, contracting, pricing and utilization trends.

• Identify opportunities to improve revenue integrity, reduce costs and strengthen financial performance across pharmacy service lines.

340B Program Financial Oversight

• Track 340B program savings and financial performance across applicable pharmacy operations.

• Analyze the financial impact of contract pharmacy arrangements and manufacturer restrictions.

• Support 340B program integrity by maintaining accurate financial tracking and assisting with internal self-audits and external audits.

• Partner with the 340B program team, Pharmacy, Finance and Compliance to support financial oversight and program compliance.

• Monitor 340B-related financial activity and identify trends, variances and opportunities for improvement.

• Evaluate the financial impact of 340B program changes and related operational decisions.

Financial Reporting, Accuracy and Process Improvement

• Maintain consistent definitions and methods for measuring drug spend, utilization and pharmacy productivity across system sites.

• Ensure financial reports and analyses are accurate, reliable and presented in a consistent manner.

• Explain pharmacy financial results and underlying drivers in clear, practical language to pharmacy and non-financial leaders.

• Continuously improve pharmacy financial reporting, budgeting, forecasting and analysis processes.

• Recommend improvements to existing reports and processes to make financial information more useful and accessible to leaders.

• Share pharmacy finance knowledge and reporting guidance with Finance and pharmacy staff.

Collaboration, Communication and Professional Responsibilities

• Serve as the primary finance partner to the System Chief Pharmacy Officer and pharmacy leaders at each site.

• Build effective working relationships with pharmacy leadership, Finance, Revenue Cycle, Supply Chain, Compliance and clinical leaders.

• Develop a working understanding of pharmacy operations, formulary decisions and the clinical factors that influence drug costs.

• Respond promptly and courteously to requests from pharmacy, finance and clinical leaders, keeping requesters informed of progress and anticipated timelines.

• Seek feedback from pharmacy leaders to ensure financial reports and analyses meet their needs.

• Stay current on drug pricing trends, reimbursement changes, 340B regulations and drug shortages, and communicate their financial impact to appropriate leaders.

• Handle confidential financial, contract and patient-related information in accordance with system policies and HIPAA requirements.

• Perform other duties as assigned.